Organization
DERBY CITY REHAB
Active
Organization
DERBY CITY REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FAITH MARCO (OFFICE MANAGER)
(502) 634-3540
Entity
Organization
Contact information
Practice address
1300 S 4TH ST, SUITE 240, LOUISVILLE, KY 40208-2314
(502) 634-3540
(502) 634-3566
Mailing address
1300 S 4TH ST, SUITE 240, LOUISVILLE, KY 40208-2314
(502) 634-3540
(502) 634-3566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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